title: Interim report of a randomized cross-over study comparing clinical performance of novice trainee endoscopists using conventional air insufflation versus warm water infusion colonoscopy.
abstract: BACKGROUND
  The applicability of water method colonoscopy in trainee education is not known.
  
  
  OBJECTIVE
  To compare the water method vs. usual air method in teaching novice trainee colonoscopy.
  
  
  METHODS
  An IRB approved prospective randomized cross-over study (NCT01482546) in a university setting with diverse patient population.
  
  
  METHODS
  Three first year GI fellows consented to participate in the study. Trainees were randomized to learn with either usual air method or the water method in performing colonoscopy with a dedicated endoscopy attending during their weekly outpatient endoscopy clinics for the initial six months of training and then cross-over to the other method for the remaining six months.
  
  
  METHODS
  Patients undergoing screening, surveillance or diagnostic colonoscopy.
  
  
  RESULTS
  The interim data revealed no significant difference in age, gender, and body mass index (BMI). Trainees rated the water method colonoscopy as significantly easier to learn compared to the air method (p=0.007).
  
  
  CONCLUSIONS
  The interim data demonstrate positive effects of using the water method in training novice endoscopists who reported a significant ease of learning colonoscopy using this method. Training programs could consider joining us in evaluating the use of warm water infusion in colonoscopy education.
authors.affiliation: University of California Davis, USA.
authors.forename: Catherine
authors.initials: C
authors.lastname: Ngo
authors.forename: Joseph W
authors.initials: JW
authors.lastname: Leung
authors.forename: Surinder K
authors.initials: SK
authors.lastname: Mann
authors.forename: Cecilia
authors.initials: C
authors.lastname: Terrado
authors.forename: Christopher
authors.initials: C
authors.lastname: Bowlus
authors.forename: Drew
authors.initials: D
authors.lastname: Ingram
authors.forename: Felix W
authors.initials: FW
authors.lastname: Leung
keywords: education; novice; trainee; water method